Writers Anonymous
2015Mid-Winter
Writers Conference
ONLINE REGISTRATION

Write, write, and then...
write some more!

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Registration will be limited to 200 people.

For additional information please refer to:

Mid-Winter Writers Conference
Online Registration Form
Name:
(First and Last)
Name on Registration
Badge should read:
Email Address:
Today's Date:
(xx/xx/2014)
Street Address:
City, ST, ZIP:
Phone Number:
(xxx-xxx-xxxx)
Registration Type Early Registration = $50 (Before February 10, 2014)
Late Registration = $60 (After February 10, 1014)
Member Registration = $35
               (For current paid WA / ASPS Members)
Student Registration = $25
Presenter (No Fee)
I also want to join
Writers Anonymous.
YES. I am also enclosing an additional $20
               for my CY 2014 annual dues.
Not at this time.
Total Payment
Included: (Dollars)
I am an author, and I
will need space for a
book table. (You must supply your own table.)
Yes.
No.
I will require
handicapped access.
Yes. Please send me more information on access.
No.
Payment Method After submitting this form you will be re-directed to the WA "Shopping Cart" where you will pay for your registration using PayPal.
This HTML form was created by Freedback.
Note: After clicking the above "Submit Form" button you will be redirected to the online server's page where you will see the ongoing progress of the uploading of your information. When the upload is complete, you need to click on the "Continue" link (at the top right) to see a page with the data you entered. From this second page, you may hit the "Continue" link at the bottom of that page. If you do not do anything, in a few seconds that page will automatically redirect to the WA Shopping cart where you will be able to pay for your registration using PayPal.

Member, Pell City
Chamber of Commerce

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The WebMaster is Harry Moritz. This page was last revised on November 20, 2014.
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